KAYLA FULLER PA-C
NPI 1558765214
Physician Assistant in Portsmouth, VA

Active since October 09, 2014
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-4564 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 2, 2022, Feb 22, 2019 (2 updates tracked since 2019).

About Kayla Fuller Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA FULLER PA-C (NPI 1558765214) is an individual physician assistant in Portsmouth, Virginia, licensed in Alaska (1177) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1558765214
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAYLA FULLERCredential: PA-C
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address620 John Paul Jones CirPortsmouth, VA 23708-2111 · (757) 953-4564
Sole ProprietorNo
Enumeration DateOctober 9, 2014
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1558765214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AK · 1177 Licensed in NJ · 25MP00600900
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

Other Names 1

Former Name (1)Kayla Gordon

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Fuller's NPI number?

The NPI number for Kayla Fuller is 1558765214. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Kayla Gordon.

Where is Kayla Fuller located?

Kayla Fuller practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-4564.

What is Kayla Fuller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kayla Fuller was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.